Amedisys Home Health of South Carolina LLC
Organization Active NPI Home Health Agency · Conway, SC
NPI 1316905573 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1316905573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA-195 (SC)
- Legal business name
- AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC
- Practice address
- 208 Elm St
Conway, SC 29526-5118 - Phone
- (866) 205-4247
- Fax
- (866) 717-5478
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Joshua Proffitt
- Title
- President and Ceo
- Phone
- (617) 639-4092
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Affiliated clinicians 137
-
Alvin C Abinsay, M.D.
-
Erkan Alci, MD
-
Terry A Belden, MD
-
Michael N Bohan, MD
-
Jonathan D Bornfreund, D.O.
-
Jonathan D. Briggs, FNP-BC
-
Justin Gerard Brothers, M.D.
-
Julia S Brown, APRN
-
Svetlana C. Brusyanina, FNP-C, APRN
-
Kristen Blackburn Carr, M.D.
-
James R Carroll, MD
-
Melissa Sue Cimineri, APRN
-
Barry Lee Clark, D.O.
-
Helen M. Cook, APRN
-
Pansy J Cooper, APRN
-
Amanda Rose Cribb, APRN
-
Justin Crosby, DO
Medicare Care Compare: Home health agency
- Listed as
- Amedisys Home Health of Conway
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Apr 9, 1999
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0953418 | Amedisys Home Health of South Carolina, LLC | Certificate of waiver | Nov 1, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Home health agency certification: CCN 427112
- Legal name
- AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC.
- Doing business as
- AMEDYSIS HOME HEALTH OF CONWAY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 9, 1999
- Last certification
- Apr 22, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 29, 2001 in SC
- Enrollment address
- 208 Elm St
Conway, SC 29526-5118
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Aug 14, 2025 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Jan 1, 2026 | |
| Kimberly Seymour |
Corporate Officer |
Apr 13, 2026 | |
| Bridget R Kaigler |
W-2 Managing Employee |
Apr 15, 2022 | |
| Amedisys Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2006 | 100% |
| Joni Babineaux |
Corporate Officer |
Apr 13, 2026 | |
| Kristina J Braud |
W-2 Managing Employee |
Apr 15, 2022 | |
| Leslie Lyerly |
W-2 Managing Employee |
Jul 28, 2025 | |
| Jeanne Louise Shingleton |
Corporate Officer |
Jan 1, 2026 | |
| Amedisys Holding LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2009 | 100% |
| Joshua Lee Proffitt |
Corporate Officer |
Jan 1, 2026 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Amedisys Home Health of Charleston |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 14, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060511000421 | SC | Part a Provider - Home Health Agency | 9638113624 | Practice locations: Conway, SC; Hartsville, SC |
National Provider Directory
- Tax ID family
- Amedisys Home Health of South Carolina LLC
Locations
538 W Carolina Ave
Hartsville, SC 29550
Phone (843) 968-0770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-195 | SC | Yes |
Addresses
Primary practice location
208 Elm St
Conway, SC 29526-5118
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA195 | Medicaid | SC |
Other names
- Amedisys Home Health of Conway
Other providers in Conway, SC
- Cornelius L Alston
- Tawan Binnetta Alston
- Lauren Claire Alvey
- Samuel Amankwah
- Amedco South Carolina LLC
- April Dawn Anderson
- Debra Lynn Anderson
- Lyndsay Anderson
- Marta Andrada
- Lillian Carmichael Andrews
All providers in Conway, SC · Home Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.